ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: A
Rationale: After emptying a Jackson-Pratt drain, the air must be expelled from the bulb to re-establish suction. This helps maintain negative pressure, ensuring the effective drainage of fluid from the surgical site.
Question 2 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.
Question 3 of 5
A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?
Correct Answer: D
Rationale: Maintaining a foam wedge between the legs is the most effective intervention to prevent hip dislocation. The wedge keeps the hips in proper alignment and prevents excessive internal rotation or adduction, which are common causes of dislocation after hip arthroplasty.
Question 4 of 5
A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
Correct Answer: D
Rationale: Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.
Question 5 of 5
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: After a cardiac catheterization, the client is typically required to lie flat for several hours to prevent complications such as bleeding or hematoma formation at the catheter insertion site, especially if the femoral artery was used. This helps ensure the clotting process is not disturbed and reduces the risk of complications.